As the first arriving EMS provider at an unstable vehicle, what should be your first priority?

The first priority when arriving at the scene of an unstable vehicle is to stabilize and secure the vehicle. This is essential because an unstable vehicle poses significant risks not only to the occupants inside but also to the rescuers attempting to assist. If the vehicle is not stabilized, it may shift or roll, leading to potential additional injuries to the occupants and jeopardizing the safety of the first responders.

By ensuring the vehicle is secure, responders create a safe environment to work in and can focus on further assessments and interventions for the occupants. Stabilizing the vehicle first helps prevent any further accidents during the rescue operation, thereby prioritizing the safety of everyone involved. Once the vehicle is secured, other actions, such as assessing the injuries of the passengers and evacuating them, can be safely carried out.